<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('S_area_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-s_area_id" data-rule="required" data-source="area/index" data-params='{"custom[level]":"2"}' data-field="mergename" class="form-control selectpage"  name="row[s_area_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('E_area_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-e_area_id" data-rule="required" data-source="area/index" data-params='{"custom[level]":"2"}' data-field="mergename" class="form-control selectpage"  name="row[e_area_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" placeholder="不填写默认《出发地-目的地》">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
